Organization
111 AVE B LLC
Active
Other names
Texas Care Humble ISD
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT PANZARELLA (CEO)
(281) 733-7525
Entity
Organization
Contact information
Practice address
111 S AVENUE B, HUMBLE, TX 77338-4510
(281) 733-7525
Mailing address
111 S AVENUE B, HUMBLE, TX 77338-4510
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
06/14/2024
Last updated
07/13/2024
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